Evidence map›Paper›PMID 41623320›Full record

ArticleExploratory research in clinical and social pharmacy2026

Optimizing inpatient access to oral contraceptives: A quality improvement approach in behavioral health.

Rachel S Pierce, Devon N Crews, Benjamin J Pierce, Courtney K Wulffson

Abstract read
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Rachel S PierceMayo Clinic Health System - Eau Claire, Eau Claire, United States of America.
Devon N CrewsCollege of Nursing, University of Wisconsin - Eau Claire, Eau Claire, United States of America.
Benjamin J PierceMayo Clinic Health System - Eau Claire, Eau Claire, United States of America.
Courtney K WulffsonMayo Clinic Health System - Eau Claire, Eau Claire, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Continuity of oral contraceptive use during hospitalization is critical for reproductive health, yet behavioral health settings often deprioritize this need. At a Midwestern community hospital, pre-admission oral contraceptives were frequently withheld due to absent workflows, inventory limitations, and provider uncertainty. Objective: The purpose of this quality improvement initiative was to design, implement, and evaluate a structured oral contraceptive procurement workflow to improve continuity of care and support reproductive autonomy for hospitalized behavioral health patients. Methods: A quality improvement initiative introduced a structured oral contraceptive procurement workflow in an adult inpatient behavioral health unit. Using Plan-Do-Study-Act cycles, the multidisciplinary team addressed medication reconciliation, pharmacy coordination, and provider education. Data were collected retrospectively (2022-2023) and prospectively (January-April 2025) for females aged 18-49 prescribed oral contraceptives prior to admission. Results: Oral contraceptive administration improved from 33 % (17/51) pre-intervention to 78 % (7/9) post-intervention ( Conclusions: Implementing a standardized workflow significantly enhanced oral contraceptive continuity for behavioral health inpatients. This systems-based approach demonstrates the value of interdisciplinary collaboration and pharmacy integration in closing reproductive care gaps. Future priorities include sustainability, electronic medical record integration, and broader adoption to advance reproductive health equity.

Indexed as

Inpatient behavioral healthMedication reconciliationOral contraceptivesPharmacy workflowQuality improvement

Identifiers

PMID41623320
PMCPMC12856171

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.